Active NPI
Thomas Robert Freije, MD
- Pediatrics Physician
- Fishers, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01087850A
- Practice address
- 11530 Allisonville Rd Ste 190
Fishers, IN 46038-1862 - Phone
- (463) 251-3937
- Fax
- (317) 222-2332
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 01087850A | IN | Primary |
Addresses
Primary practice location
11530 Allisonville Rd Ste 190
Fishers, IN 46038-1862
Mailing address
11530 Allisonville Rd Ste 190
Fishers, IN 46038-1862
Phone (463) 251-3937
Other practice location 1
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-4034
Other practice location 2
1002 Wishard Blvd Ste 2001
Indianapolis, IN 46202-4164
Phone (317) 944-2801
Other practice location 3
9650 E Washington St Ste 245
Indianapolis, IN 46229-3032
Phone (317) 890-5552
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068010820 | Other | IN | MEDICARE PTAN |
| 1003379090 | Other | IN | ANTHEM PTAN |
| 300026114 | Medicaid | IN | |
| 264430E82 | Other | IN | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tfreije@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
7216 Solutions Ctr
Chicago, IL 60677
11530 Allisonville Rd
Fishers, IN 46038
Phone (317) 415-5900
11530 Allisonville Rd
Ste 190
Fishers, IN 46038
Phone (317) 678-3850
1002 Wishard Blvd
Ste 2001
Indianapolis, IN 46202
Phone (317) 944-2801
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
9650 E Washington St
Ste 245
Indianapolis, IN 46229
Phone (317) 890-5552
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1003379090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11530 ALLISONVILLE RD STE 190",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381862",
"telephone_number": "463-251-3937",
"fax_number": "317-222-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11530 ALLISONVILLE RD STE 190",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381862",
"telephone_number": "463-251-3937",
"fax_number": "317-222-2332"
}
],
"practiceLocations": [
{
"address_1": "705 Riley Hospital Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025109",
"country_code": "US",
"telephone_number": "317-944-4034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1002 Wishard Blvd Ste 2001",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462024164",
"country_code": "US",
"telephone_number": "317-944-2801",
"fax_number": "317-968-1417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9650 E Washington St Ste 245",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462293032",
"country_code": "US",
"telephone_number": "317-890-5552",
"fax_number": "317-890-5599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREIJE",
"first_name": "THOMAS",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01087850A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "068010820",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1003379090",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300026114",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "264430E82",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tfreije@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "705 Riley Hospital Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.